Adjuvanted flu shot (65+) cost in Washington
In Washington, 14 hospitals publish a cash price for adjuvanted flu shot (with an immune booster ingredient), for age 65 and older: from $14.27 to $176.65, with a median of $84.04. The lowest price is at Legacy Salmon Creek Medical Center (Vancouver). The highest price is 12.4× the lowest.
Outpatient cash prices, one line per hospital — its lowest listed price for code 90653. Prices for both sides of the body and inpatient prices are not mixed in. Collected Sep 23, 2026.
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Legacy Salmon Creek Medical Center lowest Vancouver · Portland-Vancouver-Hillsboro, OR-WA PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $14.27 | $21.96 | Apr 1, 2026 source file |
| Providence Regional Medical Center Everett Everett · Seattle-Tacoma-Bellevue, WA HC PR RX INFLUENZA INACTIVATED IIV ADJUVANTED IM 0.5 ML | $52.52 | $101.00 | Apr 1, 2026 source file |
| Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA FLU VAC, INACTIV (IIV), SUBUNIT, ADJUVANTED, IM(NON STATE) | $53.55 | $105.00 | — source file |
| Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC PR RX INFLUENZA INACTIVATED IIV ADJUVANTED IM 0.5 ML | $77.00 | $110.00 | Apr 1, 2026 source file |
| Saint Clare Hospital Lakewood · Seattle-Tacoma-Bellevue, WA FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $78.25 | $271.45 | Feb 28, 2026 source file |
| St Anthony Hospital Gig Harbor · Seattle-Tacoma-Bellevue, WA FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $82.57 | $271.45 | Feb 28, 2026 source file |
| Highline Medical Center Burien · Seattle-Tacoma-Bellevue, WA FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $82.89 | $271.45 | Feb 28, 2026 source file |
| St Francis Community Hospital Federal Way · Seattle-Tacoma-Bellevue, WA FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $85.19 | $271.45 | Feb 28, 2026 source file |
| St Joseph Medical Center Tacoma · Seattle-Tacoma-Bellevue, WA FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $89.91 | $271.45 | Feb 28, 2026 source file |
| Enumclaw Regional Hospital Association Enumclaw · Seattle-Tacoma-Bellevue, WA FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $95.93 | $271.45 | Feb 28, 2026 source file |
| Harrison Medical Center Silverdale · Bremerton-Silverdale-Port Orchard, WA FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $119.81 | $271.45 | Feb 28, 2026 source file |
| Swedish Edmonds Edmonds · Seattle-Tacoma-Bellevue, WA INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML | $176.65 | $368.03 | Apr 1, 2026 source file |
| Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML | $176.65 | $368.03 | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML | $176.65 | $368.03 | Apr 1, 2026 source file |
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Seattle-Tacoma-Bellevue, WA | 11 | $52.52 | $85.19 |
| Bremerton-Silverdale-Port Orchard, WA | 1 | $119.81 | $119.81 |
| Portland-Vancouver-Hillsboro, OR-WA | 1 | $14.27 | $14.27 |
| Spokane-Spokane Valley, WA | 1 | $77.00 | $77.00 |
What it is
The adjuvanted flu shot contains an added ingredient (MF59) that strengthens the immune response. It is one of three flu vaccines the CDC prefers for people 65 and older.
What the price covers
The price is for the vaccine dose. Giving the shot is usually a separate line (code 90471 for the first vaccine of the visit); Medicare bills use G0008 instead.
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older in other states
- Alabama$46.20
- Alaska$409.03
- Arkansas$102.00
- California$141.28
- Colorado$806.14
- Connecticut$117.90
- Delaware$303.45
- Florida$249.65
- Georgia$215.27
- Idaho$27.95
- Illinois$83.20
- Indiana$68.36
- Iowa$76.00
- Kansas$606.39
- Kentucky$44.11
- Louisiana$53.90
- Maine$13.98
- Maryland$75.00
- Massachusetts$206.01
- Michigan$46.64
- Minnesota$67.93
- Mississippi$177.97
- Missouri$75.00
- Montana$53.55
- Nebraska$69.91
- New Hampshire$58.24
- New Jersey$150.83
- New Mexico$508.57
- New York$141.00
- North Carolina$685.55
- North Dakota$87.33
- Ohio$77.95
- Oklahoma$36.94
- Oregon$95.70
- Pennsylvania$336.70
- Rhode Island$113.00
- South Dakota$51.86
- Tennessee$54.00
- Texas$81.00
- Utah$89.98
- Vermont$123.04
- Virginia$154.42
- West Virginia$73.00
- Wisconsin$62.93
- Wyoming$43.40
Median cash price across the state's hospitals.